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Transamerica LiveStrong Survivor Plan
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Transamerica LiveStrong Survivor Plan

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Group cancer-only and group critical illness insurance work together as a …

Group cancer-only and group critical illness insurance work together as a
supplemental or limited plan that pays indemnity benefits in addition to any other coverage the
insured may have. According to Cancer Facts & Figures 2007, published by the American
Cancer Society, major medical insurance covers about 36 percent of the costs related
to a cancer diagnosis, like hospital fees and medication. Out-of-pocket costs average
63 percent and include deductibles, co-insurance, lodging and transportation as well
as lost wages.1 Even if a company’s major medical plan covers some of these costs,
TRANSAMERICA LIVESTRONG SurvivorPlan insurance pays benefits that covered
employees can use as they see fit.

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  • 1. TRANSAMERICA® LIVESTRONG® SurvivorPlan Overview TRANSAMERICA LIVESTRONG SurvivorPlan products help employers inspire their employees to choose healthier lifestyles and reduce the risk of future illness. Insured employees who are diagnosed with cancer and file a claim are connected with an array of LIVESTRONG resources designed to help them take control of their treatment and recovery. Prevention, Early Detection, Treatment and Recovery. Four Goals: Preve PRODUCTS: Group cancer-only and group critical illness insurance work together as a PRODUC supp supplemental or limited plan that pays indemnity benefits in addition to any other coverage the insu insured may have. According to Cancer Facts & Figures 2007, published by the American Cancer Society, major medical insurance covers about 36 percent of the costs related Ca to a cancer diagnosis, like hospital fees and medication. Out-of-pocket costs average 63 percent and include deductibles, co-insurance, lodging and transportation as well as lost wages.1 Even if a company’s major medical plan covers some of these costs, TRANSAMERICA LIVESTRONG SurvivorPlan insurance pays benefits that covered employees can use as they see fit. BENEFITS: G GI underwriting for eligible groups of 100 or more lives with no participation requirements G A comprehensive blood screening profile option available to employees as their annual wellness exam G Online educational tools for employers including articles, health tips, and wellness campaigns Offered by the Lance Armstrong Foundation G Toll-free telephone and online access to LIVESTRONG SurvivorCare services including emotional support, individual counseling and clinical trial matching. G LIVESTRONG Guidebook offered upon diagnosis to assist people through cancer treatment and recovery. G By licensing the LIVESTRONG trademark, Transamerica proudly supports the Lance Armstrong Foundation. PRODUCT PARAMETERS: The group cancer-only policy is customizable and must include $100 Wellness benefit within plan design. The group critical illness policy must include the Cancer category and $100 Wellness benefit within plan design. GI coverage up to $20,000 is available with minimum benefit of $10,000 (The CI minimum benefit can be as low as $5,000 if the employer contributes 50% or more of employee premium, the 100+ life group is enrolled electronically or by spreadsheet, and employees are given buy-up options.) All riders are available for plan designs. PLAN DESIGNS: The employer can select up to two group cancer-only plan design options for its employees. This product has five core modules: Hospital Benefits; Surgery Benefits; Radiation and Chemotherapy Benefits; Wellness and Miscellaneous Benefits; and Cancer Maintenance Therapy Benefits. The employer must select a unit value for each of the five core modules along with optional riders. Critical illness is designed to provide employees with benefits to help pay for common health care needs. Employers can choose to offer up to two plan design options. Each option provides a lump sum benefit for certain critical illnesses and additional benefits. The base plan includes Categories One, Two and Three. Category Four is optional and is selected by the employer along with the Optional Benefit Riders. Multiple TRANSAMERICA LIVESTRONG SurvivorPlan group cancer-only and group critical illness products may be sold within an employer group. Since this is supplemental insurance, there are no plan deductibles. In fact, TRANSAMERICA LIVESTRONG SurvivorPlan insurance is designed to help insureds defray their out-of-pocket costs, such as deductibles and co-payments. 1 Use of statistics does not imply endorsement. CLS01A4-1109 For agent/broker use only, not for public distribution.
  • 2. The TRANSAMERICA LIVESTRONG SurvivorPlan does not endorse any specific hospitals, doctors or treatments. Benefits are payable to insureds to use as they see fit. However, the plan provides an evaluation benefit if the insured seeks an evaluation or second opinion from an approved National Cancer Institute Center. GROUP PARAMETERS: G Groups with 1000 lives or greater must purchase the SurvivorPlan group cancer-only and group critical illness (with cancer option)2 products on a GI3 basis. G Groups with 100 - 1000 lives have the option of choosing SurvivorPlan products on a GI3 Basis. If non–SurvivorPlan products are chosen they will be offered on an SI basis. G Groups with less than 100 lives are eligible for SurvivorPlan products but on a Simplified Issue basis. G Groups domiciled in the following states are not eligible for group cancer-only insurance: Florida, Minnesota, Montana, Vermont and Puerto Rico. G Groups domiciled in the following states are not eligible for group critical illness insurance: Connecticut, Florida, Georgia, Minnesota, Montana, New Jersey, New York, Vermont, Washington and Puerto Rico. G All SIC codes are eligible for these products. G Eligible groups include employer groups and unions. These products are designed for new groups and not available for associations or credit unions. G With underwriting approval, existing groups are eligible for TRANSAMERICA LIVESTRONG SurvivorPlan products. G The issue age is 16+ for enrollment as the primary insured. The issue age range for dependent children is birth through age 24, which varies by state. COMPREHENSIVE BLOOD SCREENING PROFILE INFORMATION: Upon the employer’s election, employees can choose to receive a comprehensive blood screening profile as their annual wellness test. This test has a retail value in excess of $400. Employees who select this optional blood profile must assign their wellness benefit to Quest Diagnostics, and Transamerica will pay Quest directly for the test. The insured can choose to share the results of his or her blood profile with his or her personal physician for further analysis and treatment if needed. If at least 40 employees in a group choose the comprehensive blood screening profile option, the employer can receive an Employer Wellness Report. It is a broad overview of the health of the employee population and does not include any personally identifiable information about the participating employees. The employer can use this information to develop a workplace wellness program to enhance employees’ health and productivity. PROPOSALS: The proposal system contains a TRANSAMERICA LIVESTRONG SurvivorPlan option. Once selected, it will pull in a TRANSAMERICA LIVESTRONG cover page detailing the program. RATES: Standard state group cancer-only and group critical illness rates are available at www.transamericaworksite.com and must include a $100 Wellness benefit in each plan design. ENROLLMENT: Available on TransLink® and Common Census. GI groups will be able to enroll via spreadsheet with approval from Case Management. BILLING: This program will follow Transamerica’s normal billing procedures for group cancer–only and group critical illness. COMMISSIONS: TRANSAMERICA LIVESTRONG SurvivorPlan products will have special commission rates in order to allow for GI underwriting with no participation requirements. New agent numbers and commission schedules will be required. Please contact your RVP or Sales Support Specialist for this information. SALES TOOLS: A PowerPoint® presentation is available for producers. Customizable employee materials are available similar to current group cancer-only and group critical illness materials. Producer and employer brochures are also available on the web site. CUSTOMER SERVICE & CLAIMS: Administration is provided by our Home Office in Little Rock, Ark., at (888) 763-7474. Upon submission of a claim, the insured will receive a letter from Transamerica reminding him or her of the availability of the LIVESTRONG Guidebook at no cost. 2 The group critical illness product without the cancer option can be sold to any size group without going through the TRANSAMERICA LIVESTRONG SurvivorPlan program and standard underwriting will apply. 3 Pre-existing condition limitations apply. TRANSAMERICA® LIVESTRONG® SurvivorPlan products are underwritten by Transamerica Life Insurance Company, Cedar Rapids, Iowa. Policy form numbers CPCAN200 and CCCAN200; CPCI0200 and CCCI0200. Policy and rider forms and numbers may vary, and coverage may not be available in all jurisdictions. Limitations and exclusions may apply. Please refer to the policy, certificate and riders for complete details.